[焦虑对被诊断为偏执型精神分裂症的青少年和青年认知功能障碍的影响]
[Influence of anxiety on cognitive functions' disturbances in adolescents and young adults diagnosed with paranoid schizophrenia].
作者信息
Klasik Adam, Janas-Kozik Małgorzata, Krupka-Matuszczyk Irena
机构信息
Katedra i Klinika Psychiatrii i Psychoterapii, Slaskiej Akademii Medycznej w Katowicach, 40-635 Katowice, ul. Ziołowa 45/47.
出版信息
Przegl Lek. 2006;63 Suppl 1:35-43.
BACKGROUND
It is still interesting the correlations between cognitive processes and anxiety in adolescents and young adults diagnosed with schizophrenia. The aim of the paper was to answer the following questions: Is there a correlation between short-term memory processes and attention in adolescents and young adults diagnosed with schizophrenia? Is there a correlation between short-term memory processes and anxiety as a state and anxiety as a trait in adolescents and young adults diagnosed with schizophrenia? Is there a correlation between attention and anxiety as a state and anxiety as a trait in adolescents and young adults diagnosed with schizophrenia?
MATERIAL AND METHODS
The studied group consisted of individuals diagnosed with paranoid schizophrenia and the reference group consisted of healthy individuals. Since the inclusion criteria was a schizophrenia diagnosis confirmed at least three times during subsequent hospitalizations, the studied group consisted of individuals aged 18-24 (late adolescents and young adults); however, the first onset of schizophrenia took place before the 15th birthday in all cases (the first episode before the 15th birthday, currently at least third hospitalization with the diagnosis of schizophrenia). A total of 50 individuals participated in the study: 25 of them diagnosed with schizophrenia and 25 mentally sound. MMSE (Mini Mental State Examination) was used as the screening tool. It MMSE was used to rule out dementia, while PANSS was used to confirm the diagnosis. CPT (Continuous Performance Test), Free Recall and Piktogram were used to assess the subjects neuropsychologically. Additionally, the anxiety level (as the information processing variable) was assessed with STAI (State - Trait Anxiety Inventory) in order to measure anxiety as a state and as a trait levels.
RESULTS
The experiments and assess short-term memory processes and attention processes in adolescents and young adults diagnosed with schizophrenia. 2. There is a correlation between short-term memory processes and anxiety as a state and anxiety as a trait in adolescents and young adults diagnosed with schizophrenia. 3. There is a correlation between attention and anxiety in adolescents and young adults diagnosed with schizophrenia.
背景
对于被诊断为精神分裂症的青少年和青年成年人而言，认知过程与焦虑之间的相关性仍然很有趣。本文的目的是回答以下问题：在被诊断为精神分裂症的青少年和青年成年人中，短期记忆过程与注意力之间是否存在相关性？在被诊断为精神分裂症的青少年和青年成年人中，短期记忆过程与作为一种状态的焦虑以及作为一种特质的焦虑之间是否存在相关性？在被诊断为精神分裂症的青少年和青年成年人中，注意力与作为一种状态的焦虑以及作为一种特质的焦虑之间是否存在相关性？
材料与方法
研究组由被诊断为偏执型精神分裂症的个体组成，对照组由健康个体组成。由于纳入标准是在随后的住院期间至少三次确诊为精神分裂症，研究组由年龄在18至24岁（青少年晚期和青年成年人）的个体组成；然而，所有病例中精神分裂症的首次发病均发生在15岁生日之前（15岁生日之前首次发作，目前至少第三次因精神分裂症诊断住院）。共有50人参与了该研究：其中25人被诊断为精神分裂症，25人精神健全。简易精神状态检查表（MMSE）被用作筛查工具。使用MMSE排除痴呆症，而阳性和阴性症状量表（PANSS）用于确诊。连续性能测试（CPT）、自由回忆和象形图用于对受试者进行神经心理学评估。此外，使用状态-特质焦虑量表（STAI）评估焦虑水平（作为信息处理变量），以测量作为一种状态和一种特质的焦虑水平。
结果
- 实验评估了被诊断为精神分裂症的青少年和青年成年人的短期记忆过程和注意力过程。2. 在被诊断为精神分裂症的青少年和青年成年人中，短期记忆过程与作为一种状态的焦虑以及作为一种特质的焦虑之间存在相关性。3. 在被诊断为精神分裂症的青少年和青年成年人中，注意力与焦虑之间存在相关性。
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